Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
GFT SFT TISS INTERFYL ALGRF FLW HMN XCLR
River, SC
See all hospitals reporting HCPCS Q4171 →Price type
McLeod Health’s median price of $21 is 11% below the median hospital's median price ($23), higher than 45% of the 983 hospitals reporting HCPCS Q4171. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 8 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Tricare dha fee schedule · both | $10 | $10 | — | — | — | $10 – $10 |
| 2 | Blue Cross Blue Shield medicaid fee schedule · both | $20 | $20 | — | — | — | $20 – $20 |
| 3 | Medicaid medicaid fee schedule · both | $20 | $20 | — | — | — | $20 – $20 |
| 4 | Molina medicaid fee schedule · both | $21 | $21 | — | — | — | $21 – $21 |
| 5 | Cigna commercial fee schedule · both | $25 | $25 | — | — | — | $25 – $25 |
| 6 | Blue Cross Blue Shield state percent of total billed charges · bothfrom % of charges | $5.1k | $6.3k | $2.2k | 35% | — | $4.4k – $9.4k |
| 7 | UnitedHealthcare commercial percent of total billed charges · bothfrom % of charges | $7.9k | $9.8k | $3.5k | 35% | — | $6.9k – $14.7k |
| 8 | Aetna commercial percent of total billed charges · bothfrom % of charges | $8.1k | $10.1k | $3.6k | 35% | — | $7.1k – $15.1k |
Last updated: Jul 20, 2026
See Interfyl tissue graft product, per milligram pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.